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Orthogonal electrogram sensing.

B N Goldreyer, M Knudson, D S Cannom

    Pacing and Clinical Electrophysiology : PACE
    |March 1, 1983
    PubMed
    Summary
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    A novel noncontact sensing system for pacemakers shows promise. This technology improves electrogram sensing accuracy in both the atrium and ventricle, potentially reducing sensing errors common with current devices.

    Area of Science:

    • Biomedical Engineering
    • Cardiovascular Technology
    • Implantable Electronic Devices

    Background:

    • Intracardiac electrogram sensing is crucial for demand pacing systems.
    • Significant sensing issues, including under- and over-sensing, affect nearly 50% of unipolar pulse generators, with atrial sensing problems being more frequent.

    Purpose of the Study:

    • To evaluate a novel dedicated sensor for intracardiac electrogram sensing.
    • To assess the sensor's performance at both atrial and ventricular levels.
    • To determine if the sensor can overcome limitations of current sensing technologies.

    Main Methods:

    • A unique sensor with noncontacting, circumferentially placed orthogonal electrodes was utilized.
    • The sensor was tested for electrogram recording at both atrial and ventricular sites.

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  • Performance was compared to traditional contacting electrodes.
  • Main Results:

    • The noncontact sensor recorded electrograms with voltages comparable to contacting electrodes.
    • The system demonstrated complete far-field rejection of signals from the opposite cardiac chamber.
    • Orthogonal electrograms facilitated activation sequencing and capture verification.

    Conclusions:

    • This noncontact sensing technology offers a potential solution to common sensing problems in pacemaker systems.
    • The sensor's ability to reject far-field signals and provide detailed electrogram information is advantageous.
    • Further investigation may lead to improved pacemaker functionality and patient outcomes.